Skip to content
The Policy VaultThe Policy Vault

Abirtega™ (abiraterone acetate tablets – CivicaScript)Cigna

Salivary Gland Tumors

Initial criteria

  • Patient age ≥ 18 years
  • Medication is used in combination with prednisone
  • Patient has androgen receptor-positive (AR+) recurrent, unresectable, or metastatic tumor
  • Medication is used in combination with a gonadotropin-releasing hormone (GnRH) analog

Approval duration

1 year